Cognitive-Behavioral Therapy And Exposure With Response Prevention In The Treatment Of Bulimia Nervosa

Bulimia nervosa, also called bulimia is a possible life threating eating disorder. A person that suffers from bulimia may secretly binge their food. They may eat large amount of food and then purge their food to get rid of the additional calories that they’ve digested. Bulimia is categorized in two ways, purging bulimia and non-purging bulimia. Purging bulimia is when a person regularly self-induces vomiting after eating. Non-purging bulimia is when an individual may use other methods to try to prevent weight gain, such as fasting, extreme dieting, or overly exercising.

Cognitive behavioral therapy (CBT) is a type of therapy that aims to help a person manage their problems by changing how they think and act. It is a problem solving approach which recognizes that clients have a behavioral

According to the American Addiction Center (2016), Cognitive Behavior Therapy is an effective researched- based treatment modality used to treat substance abuse, eating disorders m and specific metal health diagnosis. CBT is a time- sensitive, structured, present

When looking for the best treatment options doctors primarily recommend cognitive behavioral therapy, antidepressants, and medical nutrition therapy. Similar to cognitive behavioral therapy, medical nutrition therapy attempts to help a bulimic understand outlying problems for their disease and how they can be fixed. However, medical nutrition therapy views how eating certain things can help to rejuvenate the body, while cognitive behavioral therapy attempts to rejuvenate the mind to help improve mental health. Compared to these therapies antidepressants are commonly used to elevate certain chemicals in the brain called neurotransmitters like serotonin and norepinephrine. While therapy sessions are used to talk and understand, how to treat bulimia

CBT treatment typically lasts about 20 weeks and can be divided into three stages (Fairburn et al., 1993). In the first stage, the cognitive view on the maintenance of bulimia is presented, and behavioral techniques are implemented to replace binge eating with more stable eating patterns. In the second stage, additional attempts are made to establish healthy eating habits, and an emphasis is placed upon the elimination of dieting. Cognitive processes (previously outlined) are focused upon extensively in this stage; the therapist and the individual examine his/her thoughts, beliefs, and values which maintain the eating problem. The final stage is concerned with maintaining the gains made in therapy once the treatment has been terminated (Fairburn et al., 1993).

Safer, D. L., Agras, W. S., Lowe, M. R., Bryson, S. (2003). Comparing two measures of eating restraint in bulimic women treated with cognitive-behavioral therapy. International Journal of Eating Disorders, 36, (1), 83. Retrieved February 4, 2005, from PhyscINFO database.

Bulimia Nervosa is an eating disorder characterized by recurrent episodes of binge eating with inappropriate compensatory behaviors to prevent weight gain. Cognitive Behavior Therapy and antidepressant drug therapy are treatment modalities that have shown promise with patients diagnosed with eating disorders, more so with Bulimia than with Anorexia, (Comer, 2014). In this case study analysis, a synthesis of researched outcomes-based treatment modalities is used to conceptualize a diagnosis and treatment plan for a 19 year-old female client presenting with symptoms of 307.51 (F50.2) Bulimia Nervosa; extreme.

The DSM-IV outlines five criteria for bulimia nervosa (APA, 1994). One, there are recurrent episodes of binge eating. Binge eating is defined as eating in a discrete period of time an amount of food that is definitely larger that most people would consume in a similar period of time. The binge eating must also be characterized by a sense of lack of control over eating. Two, there are recurrent inappropriate compensatory behaviors in order to prevent weight gain such as self-induced vomiting, the misuse of laxatives or diuretics, fasting, or excessive exercise. Three, the binge eating and inappropriate compensatory behavior both occur, on average, at least twice a week for three months. Four, self-evaluation is unduly influenced by body shape and weight. Five, the disturbance does not occur exclusively during episodes of anorexia nervosa. There are two types of bulimia nervosa: the purging type (the person regularly engages in self-induced vomiting or the misuse of laxatives or diuretics) and the nonpurging type (the person uses other compensatory strategies such as fasting or excessive exercise).

Bulimia nervosa is an eating disorder distinguished by its psychological, physiological, developmental, and social components. The disorder is characterized by binge eating shortly followed by harmful compensatory behaviors, such as abuse of laxatives, diuretics or enemas, stimulants, vomiting, fasting, or excessive exercise. This is known as the “Binge-Purge Cycle”. Unlike anorexia nervosa, those with bulimia nervosa fall within a normal or slightly overweight weight range and usually perform their eating disordered behaviors in secret due to the severe feelings of shame and disgust which accompany the binge-purge cycle. Due to the intensity of the combined mental and physical assault bulimia has on the body, complications of bulimia can stay with a patient long after recovery is achieved. Such complications include, but are not limited to: Decaying tooth enamel (tooth rot) due to the stomach acid constantly eroding the protective layering on the teeth; those who have suffered from this eating disorder for more than seven years (the average time of recovery for those with bulimia nervosa) have a great likelihood of rupturing either their stomach or

Anorexia nervosa is an eating disorder that consists of self-regulated food restriction in which the person strives for thinness and also involves distortion of the way the person sees his or her own body. An anorexic person weighs less than 85% of their ideal body weight. The prevalence of eating disorders is between .5-1% of women aged 15-40 and about 1/20 of this number occurs in men. Anorexia affects all aspects of an affected person's life including emotional health, physical health, and relationships with others (Shekter-Wolfson et al 5-6). A study completed in 1996 showed that anorexics also tend to possess traits that are obsessive in nature and carry heavy emotional

It consisted of groups of eight patients and ran over eight sessions with one session per week. All therapists were experienced and trained in using the CBT-based program. The aim of this study was to evaluate the efficacy of a brief group (CBT) program in treating a large cohort of patients diagnosed with bulimia nervosa. The main focus for group psychotherapy was on changing pathological eating behaviors and exploring general and specific causes. All patients used an eating diary and their weight was evaluated before each session. The treatment outcome defined as reductions in bulimia related behavioral symptoms and bulimia related distress was examined in 205 consecutive new patients enrolled in an eight-session group CBT program. The outcome was significant reductions in eating disorder pathology were found on all measures of bulimia related behavioral symptoms, as well as on all measures of bulimia related distress (Jones & Clausen,

Cognitive behavioral therapy (CBT) is currently the most commonly used type of psychotherapy (Peterson & Mitchell 1999). It is based on the cognitive view of bulimia nervosa, which weighs attitudes towards shape and weight as most significant for maintenance of the disorder. Therapy actually includes a combination of behavioral and cognitive directives aimed at changing patterns of behavior, attitudes of shape and weight, and cognitive distortions such as low self esteem (Fairburn et al. 1993).

Anorexia nervosa and bulimia are eating disorders that severely affect both men and women around the world. The cause of the eating disorder usually derives from psychological, biological and social forces. Eating disorders have become an epidemic in American society, twenty-four million people of all ages and genders suffer from an eating disorder in the U.S. (National Association of Anorexia Nervosa and Associated Disorders.\, 2011). There are many ways to address and treat an eating disorder. There have been multiple studies conducted to test the effectiveness of different types of treatment. My central research question analyzes the relationship between the continuation of the eating disorder with the presence of intervention or some

This article is about the effects of therapy on patients that have Bulimia and are going through Bulimia abstinence. The study was done on about 150 patients to see if there where similarities in purging and eating habits. The study shoed that there where similarities between the different groups of people when it came to bulimia habits. I personally thought that this article was lacking in details and specificity.

Bulimia Nervosa is a very chronic eating disorder that can also be life threating. According to J.D outlettes, who is a respected educator, advocate, as well as a mother who has a daughter who is a recovering Anorexic. She states on Mirrormirror.org, “Bulimia statistics tell us that the lifetime prevalence of bulimia nervosa in the United States is 1.5%in women and0.5% in men. This translates to approximate 4.7 million females and 1.5 million males who will have their lives threatened by this potentially deadly disorder.” Bulimia can potentially be life threatening because a person who is suffering will excessively eat in one sitting( which is commonly known as binging)and then will force themselves to throw up(which is commonly known as purging) or take products that will make them have fast or constant bowel movements or in some cases they also try excessive exercising. With this being the case, it can cause a person to get very physically ill. The main reason is because, they are addicted or self-medicating themselves because they have emotional issues that are not solved and use